Provider Demographics
NPI:1245782424
Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF HILLSBORO
Entity Type:Organization
Organization Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF HILLSBORO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-547-1999
Mailing Address - Street 1:110 NE 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-3333
Mailing Address - Country:US
Mailing Address - Phone:503-547-1999
Mailing Address - Fax:503-547-1988
Practice Address - Street 1:110 NE 10TH AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-3333
Practice Address - Country:US
Practice Address - Phone:503-547-1999
Practice Address - Fax:503-547-1988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5157111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty